Provider Demographics
NPI:1174724017
Name:PEOPLES, FRANKLIN J (MSW, LCSW)
Entity type:Individual
Prefix:
First Name:FRANKLIN
Middle Name:J
Last Name:PEOPLES
Suffix:
Gender:M
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:JAY
Other - Middle Name:
Other - Last Name:PEOPLES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MSW, LCSW
Mailing Address - Street 1:4306 ANDERSON AVE
Mailing Address - Street 2:
Mailing Address - City:KLAMATH FALLS
Mailing Address - State:OR
Mailing Address - Zip Code:97603-8464
Mailing Address - Country:US
Mailing Address - Phone:541-883-7259
Mailing Address - Fax:
Practice Address - Street 1:4306 ANDERSON AVE
Practice Address - Street 2:
Practice Address - City:KLAMATH FALLS
Practice Address - State:OR
Practice Address - Zip Code:97603-8464
Practice Address - Country:US
Practice Address - Phone:541-883-7259
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-29
Last Update Date:2007-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORL41021041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical